Our Womanity Q & A with Dr. Rachel Pope

Dr. Rachel Pope
  • 5.0 (12)
  • Alternative Health
  • Updated Biweekly

Dr. Rachel Pope, along with women's healthcare professionals, experts, and inspiring women address commonly asked (and not asked) questions about, health equity, sexual health, menopause, perimenopause, reproductive health care, anatomy, aging and more. Whether you have questions about periods, pregnancy, or menopause, we will do our best to address them here! 

  1. Jul 14

    12. She's Just Under Construction: A Partner's Complete Guide to Perimenopause

    "Your partner is not broken. Your relationship is not unsalvageable. She is simply going through one of the most profound biological transitions of a human life—and she shouldn't have to navigate it alone." — Dr. Rachel Pope Why This Guide ExistsWhy is it that the most common question women in menopause support groups ask is: "How do I explain this to my partner?" How do you explain that the irritability, the sleep loss, the brain fog, and the sudden physical changes are not personal attacks or signs of a relationship unraveling, but rather the result of a massive, systemic neurological and hormonal transition? To bridge this gap, board-certified OBGYN and sexual medicine specialist Dr. Rachel Pope created this comprehensive audio guide. Written with equal measures of clinical precision and direct, honest language, this guide is designed specifically for the partner who loves a woman in transition. It is not designed to help you "fix" or "manage" her; it is designed to help you understand the profound science of what she is experiencing so you can show up as a true, informed partner. What You Will Learn in This Guide: Perimenopause: The actual timeline (it can last 4 to 10 years), ovarian decline, the pituitary "shout" (FSH), and why standard blood tests frequently miss it. Physical Body Transition: The real thermoregulatory science of hot flashes, night sweats, sleep architecture changes, metabolic shifts (visceral fat distribution), and cardiovascular safety. Psychological Landscape: Why her brain is not betraying her. The neurochemical connection between fluctuating estrogen, serotonin, GABA, sudden anxiety, panic, and "brain fog." Sex, Desire, Intimacy: Demystifying Genitourinary Syndrome of Menopause (GSM), painful intercourse, the drop in testosterone, and the crucial shift from spontaneous to responsive desire. Practical Protocols for Partners: How to own the cognitive labor of the household, optimize the bedroom temperature (65°F to 68°F), utilize better intimacy tools (like UberLube), and support her medical treatment decisions (including Menopause Hormone Therapy).The Partner’s Quick Communication Cheat Sheet:Instead of saying the wrong thing, try shifting your language to show partnership: Instead of: "You're being so emotional about this." Try: "I can see this is hard. I'm here, and I'm not going anywhere."Instead of: "Is it your hormones again?" Try: "What does support look like for you right now?"Resources Locate a Menopause Society Certified Practitioner (MSCP) near you at menopause.org Follow @drrachelpope on Instagram Love, Sex, and MenopauseIf you found this guide helpful, please leave us a 5-star review and share this episode with a friend or partner who needs to hear it!

    12. She's Just Under Construction: A Partner's Complete Guide to Perimenopause

  2. Jul 6

    11. Explaining the Inequity of Women's Healthcare with Dr. Jocelyn J. Fitzgerald

    Did you know doctors are paid systematically less for procedures on female anatomy? (For example, 45% more to biopsy a penis than a vagina). This shocking reality, highlighted by creator René Jay @bornwithadarktan and Dr. Kemi Doll’s book A Terrible Strength, is a baked-in structural issue. In this episode of Our Womanity, host Dr. Rachel Pope sits down with urogynecologist Dr. Jocelyn Fitzgerald—the lead researcher behind the landmark study "Price and Prejudice"—to dismantle the financial architecture failing female patients and their specialists. Dr. Jocelyn Fitzgerald, MD is a board-certified urogynecologist and reconstructive pelvic surgeon at UPMC Magee-Womens Hospital in Pittsburgh, and an assistant professor at the University of Pittsburgh. Her clinical work and research span chronic pelvic pain, female sexual dysfunction, pelvic floor disorders, and genitourinary syndrome of menopause. She is a prominent advocate for equity in women’s healthcare, famously publishing research detailing the surgical reimbursement inequities embedded within female anatomy billing. Key Conversation Highlights: The RVU Trap: How the Relative Value Unit (RVU) billing system systematically devalues the female body, gynecologic surgery, and non-surgical menopause visits. "Moms of Medicine" Dilemma: Why society expects OBGYNs to constantly absorb uncompensated emotional labor and primary care duties, diluting their specialized surgical value. The Workforce Crisis: Why post-op "ghost towns" and devalued billing are driving a massive OBGYN shortage, with only six states projected to have adequate care by 2040. Beyond "Lady Stuff": Why menopause is a systemic transition overlapping with cardiology, rheumatology, and neurology, demanding interdisciplinary research. The Allderdice Connection: A fun look back at Rachel and Jocelyn's shared feminist upbringing at Taylor Allderdice High School in Squirrel Hill, Pittsburgh."In medicine, if we don't study it and we don't name it, it's not there. It's just treated as 'lady stuff.'" — Dr. Jocelyn Fitzgerald Connect & Listen:Subscribe to Our Womanity on Apple Podcasts or Spotify, and follow Dr. Rachel Pope on Instagram: @DrRachelPope for daily midlife wellness tips! The Study: Price and Prejudice: Reimbursement of Surgical Care on Male Versus Female Anatomies by Madeline Penn, Donessa Colley, Pratistha Koirala, Dr. Louise King, and Dr. Jocelyn Fitzgerald.

    11. Explaining the Inequity of Women's Healthcare with Dr. Jocelyn J. Fitzgerald

  3. Jun 26

    10. Why Testosterone Matters for Women with Dr. Mohit Khera

    There is an undeniable buzz around testosterone for women right now. While many patients report feeling more energized, happier, and clearer of mind after adding it to their hormone therapy regimen, clinical questions and nuances still remain. In this episode, Dr. Rachel Pope sits down with world-renowned urologist Dr. Mohit Khera, Professor and Director of the Laboratory for Andrology Research at the Baylor College of Medicine, to demystify testosterone's role in midlife optimization, the safety data behind it, and why sexual health is the ultimate check-engine light for your overall well-being. Key Takeaways: The Hormonal Triangle (Triple Therapy): Modern midlife medicine must evolve past dual hormone therapy (estrogen and progesterone). True optimization requires Triple Therapy—adding systemic testosterone to balance the triangle—alongside localized vaginal estrogen therapy for complete quality of life restoration. Women naturally produce nearly five times more testosterone than estradiol. When testosterone declines, replacing it can significantly augment bone mineral density, lean muscle mass, cognitive focus (brain fog), mood stability, and all four domains of sexual function (desire, arousal, orgasm, and pain mitigation). The Clinical Safety Reality: Historical fears that testosterone causes breast cancer or cardiovascular events are not backed by data. Large-scale charts and transgender health studies (using ten times the standard female dose) demonstrate excellent safety profiles. In fact, emerging data suggests testosterone may even help decrease breast cancer risk. The "Sex Factor" & Overall Health: Sexual health is a bidirectional barometer for physical and mental health. Rather than just a recreational activity, sexual function acts as a "check engine light." Dysfunction is often an early clinical indicator of undiagnosed depression, diabetes, or future cardiovascular events. The 50/50 Rule: Hormones are not a standalone holy grail; they are synergistic with lifestyle modification. Clinical optimization requires medical therapy (50%) to meet lifestyle modifications (50%) halfway through intentional diet, exercise, sleep, and chronic stress reduction.Upcoming Frontiers in Healthcare: The landscape of hormone therapy regulation is rapidly shifting. Dr. Khera shares recent monumental policy wins, including the FDA's removal of major historical warnings on local estrogens and male testosterone labels. For women, clinical discussions are currently underway with the FDA to bring regulatory approval for female-specific testosterone gels and oral formats to the US market within the next two to three years.

    10. Why Testosterone Matters for Women with Dr. Mohit Khera

  4. Jun 9

    9. 15-Minute Consult: New Research in Vestibulodynia with Dr. Jill Krapf

    If you experience severe, sharp burning at the vaginal opening, you know how frustrating the journey to a clear diagnosis can be. In this episode, world-renowned pelvic pain expert Dr. Jill Krapf joins Dr. Rachel Pope to share a massive milestone in neuroinflammatory vulvar pain research: a gold-standard, 3-month clinical trial testing a brand-new topical Ketotifen cream. Ketotifen is a mast cell stabilizer historically used for allergies, but it has never before been formulated into a topical cream for pelvic pain. This breakthrough treatment directly targets the "neuroinflammatory zone," calming hyper-reactive mast cells and hypersensitive nerve endings. Key Takeaways: The Clinical Protocol: To track improvement, the trial uses two precise baseline tests: a specialized Q-Tip pressure monitor at the vestibule (requiring a 5/10 pain score to qualify) and a gentle dilator insertion test. Patient comfort is the absolute priority; tests stop immediately if pain thresholds are hit. A Pure Passion Project: Funding for localized vulvar pain is notoriously low. Backed by a small grant from the National Vulvodynia Association (NVA), this trial is a true labor of love by Dr. Krapf, Dr. Andrew Goldstein, and Dr. Chailee Moss to provide a non-surgical alternative for patients. How to Get Screened: Active trials are currently recruiting. Reach out directly to the site closest to you:The Centers for Vulvovaginal Disorders Research Details & Locations: Duration: Approximately 3 months (only 4 short in-person study visits). Locations: Tampa (FL), Washington D.C., and New York City.Tampa, (FL): Lichen Scelorus research: researchjkmd@gmail.comVulvodynia Research: Washington, DC- research.cvvd@gmail.com New York City, NY- research.cvvd@gmail.comExclusion Criteria: Individuals with active pudendal neuralgia or a diagnosed vulvar dermatosis (such as Lichen Sclerosus or Lichen Planus) are unfortunately excluded. How to Get Screened: If you are interested in participating or traveling to one of the three sites, check the screening contacts listed. Even if you can't participate, sharing this study on social platforms helps show investors and pharmaceutical companies that women's health research is highly valued and desperately needs funding!

    9. 15-Minute Consult: New Research in Vestibulodynia with Dr. Jill Krapf

  5. May 29

    8. Weight Lifting & Prolapse with Dr. Jessica Jenkins

    Strength training is having a massive moment for women in midlife, but it comes with a silent side effect showing up in clinical offices: pelvic organ prolapse. In this "15-Minute Consult," Dr. Rachel Pope sits down with Dr. Jessica Jenkins, PT, DPT, ATC, to discuss how to protect your pelvic floor while lifting heavy, managing internal abdominal pressure, and keeping your organs exactly where they belong. Key Takeaways: Prolapse Isn't Just for Older Women: Heavy lifting can bring undetected pelvic organ prolapse to light even in young, active women in their 20s who have never given birth. The Danger of Holding Your Breath: Holding your breath or bearing down (Valsalva) during standard strength training acts exactly like straining on the toilet, sending massive downward pressure straight onto your bladder and uterus. The Golden Rule of Lifting: When the movement gets hard, breathe out. On the exertion phase (like pushing up from a squat), exhale, pull in your lower abs, and engage your pelvic floor (Kegel) to push the pressure upward. Listen to Your Body: Experiencing a distinct heaviness or a "tampon is stuck inside" sensation during or after a workout means the weight is too heavy, the pace is too fast, or your mechanics need a reassessment. Underutilized Support Tools: Pessaries (silicone support rings) can be worn strictly as "sports gear" to physically support tissues during workouts. Localized estrogen is also highly effective for restoring tissue extensibility before diving into core rehab. The Power of Hypopressives: This specialized vacuum-breathing technique creates negative pressure in the abdomen, involuntarily lifting the pelvic floor up and in to help train the abdominal wall to support internal organs.Quick Training Tips: Never hold your breath during the exertion or lifting portion of an exercise. Exhale and contract your pelvic floor as you lift to redirect internal pressure safely toward your diaphragm.About Guest Expert Dr. Jessica Jenkins: Dr. Jessica Jenkins is a Doctor of Physical Therapy, Certified Athletic Trainer, and the founder of the Cleveland Pelvic Wellness Center. Driven by her own experience navigating a pelvic floor injury as a competitive cross-country and track athlete, she blends sports medicine principles with specialized pelvic floor rehabilitation to help active individuals master core stability and pressure management. Connect & Resources: Learn More About Dr. Jenkins: Cleveland Pelvic Wellness Center Watch on YouTube: Our Womanity ChannelFree Resources: Get your free copies of:  ➡️ The Proactive Perimenopause Guide ➡️ "She's Just Under Construction" partner Guide Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

    8. Weight Lifting & Prolapse with Dr. Jessica Jenkins

  6. Apr 15

    7. 15-Minute Consult: Acne and Facial Hair in Perimenopause & Menopause with Dr. Melissa Mauskar

    As a board-certified OBGYN, I’m the first to admit: while I’m an expert in hormones and menopause, I am not a dermatologist. Yet, my patients come to me every day with skin concerns that feel like "cruel and unusual punishment." You’re already dealing with hot flashes and night sweats—why are the cystic acne and chin hairs back too? To give you the answers you deserve, here is a "15-minute consultation" with my go-to expert and dear friend, Dr. Melissa Mauskar. Dr. Mauskar is a double-threat: a Dermatologist and Associate Professor in both the Departments of Dermatology and OBGYN at UT Southwestern. She is the Director of Genital Dermatology and Women’s Health and a leading expert in vulvar dermatoses. In this episode, we dive into the "Big Three" of menopausal skin: 1. The Return of the Adult Acne Why are we getting "teenager" pimples in our 50s? Dr. Mauskar explains the "hormonal dance" of perimenopause—specifically the relative androgen excess that happens when estrogen dips. The Gold Standard: Why retinoids (like Tazarotene) are the "heavy hitters" for both acne and aging. The Spironolactone Debate: We discuss why this anti-androgen is a first-line treatment for skin, but why I, as a sexual health expert, have some serious reservations about its impact on libido.2. The "Wisdom" Hairs (Chin Beards & Upper Lips) Dr. Mauskar breaks down why terminal hairs start popping up on the chin and why you need to act before they turn white if you want laser hair removal to work. (Plus, I share a quick story about why chin hairs are actually a sign of wisdom in Sub-Saharan Africa!) 3. The Widening Part: Hair Thinning It is incredibly frustrating to see your hair density drop just as your hormones shift. We discuss: Topical vs. Oral Minoxidil: Which one is right for your hair-washing routine? The 6-Month Rule: Why patience is the most important ingredient in any hair growth protocol. Red Light Caps: Are they worth the investment, or should you stick to the basics?Connect with Dr. Melissa Mauskar Professional Profile: UT Southwestern Medical Center - Dr. Melissa Mauskar Specialty: Genital Dermatology, Lichen Sclerosis, and Women's Health.Key Resources Mentioned Tazarotene: A potent retinoid Dr. Mauskar prefers over traditional Tretinoin for better tolerance.Spironolactone: A common oral medication for hormonal acne (use with caution regarding sexual side effects!).

    7. 15-Minute Consult: Acne and Facial Hair in Perimenopause & Menopause with Dr. Melissa Mauskar

  7. Mar 16

    6. Testosterone in Perimenopause & Menopause with Dr. Tami Rowen

    Is testosterone the "missing piece" of your hormone puzzle, or is it a social media-fueled performance enhancer? In this deep-dive episode, Dr. Rachel Pope is joined by Dr. Tami Rowen, a lead gynecologist at UCSF and expert in sexual and transgender health, to separate data from hype. They tackle the confusing world of testosterone for women—from its role in desire and energy to the hidden history of how it was once used to protect the uterus. In This Episode, We Discuss: The HSDD Breakthrough: Why the best-known data for testosterone is in treating Hypoactive Sexual Desire Disorder (HSDD), and the surprising truth about the doses used in successful clinical trials. The "Menopause Cliff" Myth: Why testosterone doesn't actually crash at menopause, but rather begins a slow, steady decline in your 30s. Dosing & Safety: The difference between "physiologic" levels (what you had in your 20s) and "supra-physiologic" doses (performance-enhancing levels) often seen in boutique pellet clinics. The Breast Cancer Debate: Is testosterone protective or risky? Dr. Rowen explains the "anti-proliferative" nature of the hormone and the nuances of aromatization into estrogen. The "Estratest" History: A look back at why we once used estrogen and testosterone together to protect the uterine lining—long before progesterone became the standard. Cognition, Mood, & Muscle: Does it actually help with brain fog or gym gains? We look at why the data is mixed and the power of the "placebo effect." The FDA Gap: Why the U.S. still lacks a testosterone product specifically approved for women and what that means for your prescriptions.Key Resources & Mentions: ISSWISH: International Society for the Study of Women’s Sexual Health Dr. Tami Rowen: UCSF Health Profile Research Study: The Women’s Health Initiative (WHI) and the 300mcg testosterone patch trials.About Our Guest:Dr. Tami Rowen is a board-certified OB/GYN and Associate Professor at UCSF. She is a nationally recognized expert in sexual medicine, transgender health, and complex gynecological care for cancer survivors. If you found this episode helpful, please Rate, Review, and Subscribe on Apple Podcasts or Spotify! Your support helps us bring this vital information to more women. Follow Dr. Rachel Pope: Instagram: @DrRachelPope Website: OurWomanity.com

    6. Testosterone in Perimenopause & Menopause with Dr. Tami Rowen

  8. Mar 11

    5. Hormone Therapy in Perimenopause & Menopause with Dr. Rachel Pope

    "Hormones—what is the deal with them?" In this special solo episode, Dr. Rachel Pope pulls back the curtain on the world of hormone therapy (HT). While we know that hormones are vital for cardiovascular health, bone density, and quality of life, there is still so much the medical community is uncovering about the "perfect" dose and duration for the average woman. Dr. Pope gets personal in this episode, sharing her own recent experience with perimenopausal symptoms—from heart palpitations to her first-ever migraine—and how tracking her cycle led her to a life-changing realization about estrogen fluctuations. In this episode, we break down: The "Extreme" Ends of Menopause: Why early menopause (POI) and late menopause both carry significant health risks and what they teach us about the power of estrogen. Hormone Breakdown: What do Estradiol, Progesterone, and Testosterone actually do for your sleep, mood, anxiety, and libido? Systemic vs. Topical: Why a patch might help your hot flashes, but you might still need a cream or ring for vaginal and bladder health. The Perimenopause "Storm": How the week before your period reveals the first signs of hormonal decline (and why you might not need a million different medications to fix it). The Safety Debate: A candid look at the Women’s Health Initiative data, breast cancer risks, and why Dr. Pope isn't "batting an eye" at low-dose transdermal estrogen for healthy women. The DEXA Scan Dilemma: Why waiting until age 65 for a bone density scan might be too late, and why Dr. Pope advocates for earlier screening.Key Takeaways: You are an individual: There is no "one size fits all" for how long you should stay on hormones. It requires a yearly conversation with your doctor to weigh your unique risks vs. benefits. Prevention is key: Hormone therapy isn't just about stopping hot flashes; it's about protecting your heart, brain, and bones for the long haul. It’s not the "Fountain of Youth": While hormones are underutilized, they aren't a cure-all. Balanced medical care still means addressing mental health and lifestyle alongside HRT.Are you curious if your symptoms are "just aging" or actually perimenopause? Subscribe and listen to Our Womanity as we dive deeper into these topics with world-class experts throughout this series!

    5. Hormone Therapy in Perimenopause & Menopause with Dr. Rachel Pope
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Dr. Rachel Pope, along with women's healthcare professionals, experts, and inspiring women address commonly asked (and not asked) questions about, health equity, sexual health, menopause, perimenopause, reproductive health care, anatomy, aging and more. Whether you have questions about periods, pregnancy, or menopause, we will do our best to address them here! 

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